Membership Change Request Form

I would like to:

Primary branch

Full name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone number

Example: 555-555-5555Format: 000-000-0000.

UPDATE YOUR CONTACT INFORMATION

We're happy to assist you with updating your contact information if needed, however you have access to make this change yourself by signing in to your online membership account here:

https://operations.daxko.com/Online/Membership/myaccount.aspx?cid=3144

Once signed in, click on My Account > View Account and you can edit your name, address, phone number or email information as needed.

If you are not able to complete the change yourself, please call us at (908)273-3330 or (908)464-8373 so we can assist you over the phone.

UPDATE YOUR BILLING METHOD

For your protection, we are unable to accept payment information via this form. We're happy to assist you with updating your billing method if needed, however you have access to make this change yourself by signing in to your online membership account here:

https://operations.daxko.com/Online/Membership/myaccount.aspx?cid=3144

Once signed in, click on My Account > View Account and you can add, edit or delete any credit/debit card information as needed.

Please note, a 3% service fee applies to all credit card payments. There are no service fees associated to payments made by cash, check, debit card, or bank account (EFT).

If you are not able to complete the change yourself, please call us at (908)273-3330 or (908)464-8373 so we can assist you over the phone.

PROCESS MY STAFF MEMBERSHIP CHANGE

We're happy to assist you! To update your membership account, please click here:

https://www.thesay.org/staff-membership

Change option

ADD A FAMILY MEMBER TO YOUR UNIT

We're happy to assist you! Please note, adding a family member to your unit may result in a change to your membership type and/or increase your monthly membership fee.

If this is the case, we will contact you to confirm the changes within 2-4 business days and they can begin enjoying all the offerings of our YMCAs once you receive confirmation from us that the change was processed. We will use your current payment method to process any additional membership fees at the time of the request. Going forward you will be billed the new membership rate (if applicable).

If any new family members are an adult and this will be their first visit to our YMCA, they will be required to show a government issued ID to verify their identity upon their first visit. If the address on their ID does not match that on the membership unit, they will have to show proof of address that matches yours as only those that reside within the same household can share a membership. View membership type rules here.

UPGRADE YOUR MEMBERSHIP

We're happy to assist you! Your membership type will be updated as requested within 2-4 business days. Since you upgraded your membership to include additional family members, they can begin enjoying all the offerings of our YMCAs once you receive confirmation the change was processed. We will use your current payment method to process any additional membership fees at the time of the request. Going forward you will be billed the new membership rate (as indicated below).

If any new family members are an adult and this will be their first visit to our YMCA, they will be required to show a government issued ID to verify their identity upon their first visit. If the address on their ID does not match that on the membership unit, they will have to show proof of address that matches yours as only those that reside within the same household can share a membership. View membership type rules here.

DOWNGRADE YOUR MEMBERSHIP

We're happy to assist you! Your membership type will be updated as requested within 2-4 business days. Since you downgraded your membership to remove additional family members, they will be prevented from enjoying all the offerings of our YMCAs once you receive confirmation the change was processed. If your membership dues were already billed for the month, we may adjust the total due for the next month and going forward you will be billed the new membership rate (as indicated below).

REMOVE A FAMILY MEMBER FROM YOUR UNIT

We're happy to assist you! Please note, removing a family member to your unit may result in a change to your membership type and/or monthly membership fee.

If this is the case, we will contact you to confirm the changes within 2-4 business days and they will be prevented from enjoying all the offerings of our YMCAs once you receive confirmation the change was processed. If your membership dues were already billed for the month, we may adjust the total due for the next month and going forward you will be billed the new membership rate.

SELECT YOUR NEW MEMBERSHIP TYPE

Choose from one option below. Pricing as of January 1, 2026.

Standard YMCA Membership Type:

YMCA + Pool Membership Type (Choose from either the Berkeley Heights Community Pool or Springfield Community Pool):

All-Access Membership Type (Both Outdoor Pools):

List Member's to Add/Remove: Name, Date of Birth and Relationship to You:

PLACE YOUR MEMBERSHIP ON HOLD

We're happy to assist you and appreciate your willingness to return to us whenever you are ready. For this option, you may select to place your membership on a temporary hold for a monthly fee of $40 for up to three months. Please note, while on hold you may not participate in any Y activities or register for future programs. Holds begin on the 1st of the month and end on the last day of the month.

If your membership dues were already billed for the month, your membership hold will begin next month and going forward you will be billed the hold fee until your requested hold period has ended. Once your hold period has ended, your membership draft will automatically resume on your previous monthly billing date.

Reactivate my membership in:

MEMBERSHIP CANCELLATION REQUEST

We're sorry to see you go! Upon submission, this request will serve as your notice of membership termination from the Summit Area YMCA as stated in the authorization forms you signed when you joined. Your membership termination will be processed within 2-4 business days and go into effect on the date prior to your next scheduled bill date (the last date that your most recent membership payment was paid through). We will confirm your termination end date via email upon completion of the request and you may continue to use the Y until the scheduled termination date.

Reason for termination:

Is there anything we could have done to serve you better?

SUPPORT THE Y

We are deeply grateful for the generosity of our members who help to sustain the Summit Area YMCA and our mission. Help us ensure everyone who wants to participate in a Y program can regardless of financial circumstance with a tax-deductible contribution towards the Annual Campaign.

Gift options:

Gift amount:

Example: $100

Donation receipt request:

REQUEST PROCESSING & CONFIRMATION

Upon submission of this form, the Summit Area YMCA will begin processing your request. If any additional information or clarification is needed we will reach out to you shortly. Most requests will be processed within 2-4 business days and you will receive an email upon completion from our membership team.

Additional questions or comments?

Signature

Date